LifeReady STEM

Provide your information and deposit to reserve your student's seat.

Coordinating Parent / Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email *

Phone *

Address *

Street Address (Search for address above) *

City *

State

Country

Enter your country

Zip Code *

Funding Method *

How do you plan on funding this course for your student?

Student Information

First Name (Official) *

Last Name *

Goes By

Student Email *

Grade (Upcoming Year) *

Date of Birth *

New or Returning Student? *

New

Returning

Registering A Second Student? *

No

Yes

Second Student Information — optional (skip if not enrolling)

First Name (Official)

Last Name

Goes By

Student Email

Grade (Upcoming Year)

Date of Birth

New or Returning Student?

New

Returning

Registering A Third Student?

No

Yes

Third Student Information — optional (skip if not enrolling)

First Name (Official)

Last Name

Goes By

Student Email

Grade (Upcoming Year)

Date of Birth

New or Returning Student?

New

Returning

Privacy & Communication Policy
I never rent, sell, or spam your personal information. By checking the box, you agree to let LifeReady STEM send you important course updates and reminders via email, phone, or SMS. You can opt out at any time. Read the full Privacy & Communication Policy Here.

Communication Policy *

I agree to the Communication Policy

Please Read the Registration Terms found here.

Equipment & Safety Waiver *

I read, understood, and agree to the Equipment & Safety Waiver, the Media Policy, and Refund Policy.

Deposit Payment for Kits (add one per student)

Equipment Deposit *

Equipment Deposit - One Per Student

If enrolling with a school choice program, this deposit will be refunded to you.

If enrolling self-pay, this deposit goes towards your course tuition & materials.

$99

100% secure & safe payments.

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